Evidence map›Paper›PMID 40384691›Full record

ArticleQuantitative imaging in medicine and surgery2025

Quantitative assessment of biomechanical changes in oral lesions at different cancerous stages using optical coherence elastography.

Yuhao Yang, Mengzhen Tang, Wangge Xiong, Hao Luo, Zekun Li, Xinyu Yang, Weihua Chen, Xiaojing Hu, Xingdao He, Jian Yang

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Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Yuhao Yang *School of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Mengzhen Tang *School of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Wangge XiongSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Hao LuoSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Zekun LiSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Xinyu YangSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Weihua ChenSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Xiaojing HuSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.
Xingdao HeKey Laboratory of Opto-Electronic Information Science and Technology of Jiangxi Province and Jiangxi Engineering Laboratory for Optoelectronics Testing Technology, Nanchang Hangkong University, Nanchang, China.
Jian YangSchool of Stomatology, Jiangxi Medical College, Nanchang University, Nanchang, China.ORCID https://orcid.org/0000-0002-0684-9772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oral cancer is the sixth most common cancer worldwide. The detection, prevention, and control of oral potentially malignant disorders (OPMDs) at early stages is imperative to reduce the incidence of oral cancer. This study analyzed ultrastructural and biomechanical tissue properties during tongue cancer development in Sprague-Dawley (SD) rats using optical coherence elastography (OCE). Our investigation examined the changes associated with oral cancer pathogenesis and explored the feasibility of OCE as an early diagnostic tool for oral cancer. Methods: In this study, 4-nitroquinoline-1-oxide (4NQO) was used to induce oral carcinogenesis in SD rats. In total, 10 normal tissues, five hyperplastic lesions, eight low-grade dysplasias (LGDs), eight moderate-high-grade dysplasias (M-HGDs), seven carcinomas in situ (CISs), and seven squamous cell carcinomas (SCCs) were examined. The oral stroma changes were sequentially imaged by Results: The findings showed that OCE imaging could be used to accurately distinguish between normal, hyperplasia, atypical hyperplasia, CIS, and oral cancer. Additionally, there were significant differences in the tongue tissue biomechanics across the different lesion levels (P<0.05). Further, as the malignancy of the tongue cancer progressed in the SD rats, the level of collagen fibers gradually increased, showing a positive correlation (r=0.353, P<0.05), while the level of elastic fiber expression gradually decreased, showing a negative correlation (r=-0.776, P<0.05). The alpha-smooth muscle actin (α-SMA) scores of CIS and SCC were statistically significantly higher than those of normal, simple hyperplasia, mild atypical hyperplasia, and moderate-high atypical hyperplasia (P<0.05). Conclusions: The ability of the shaker-OCE system to obtain the structural and biomechanical characteristics of tongue tissues in a non-invasive, real-time manner was confirmed by this study. It also showed notable benefits in terms of early diagnosis and the dynamic monitoring of tongue cancer. The systematic validation of the physiopathological model revealed a strong correlation between the elastic properties of cancerous tissues and pathological evolution, which provides a theoretical basis and experimental evidence for the clinical application of OCE technology.

Indexed as

dysplasiaearly diagnosiselasticity imaging techniquesoptical coherence elastography (OCE)Oral cancer

Identifiers

PMID40384691
PMCPMC12082576

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